Malignant Wounds in Hospitalized Oncology Patients: Prevalence, Characteristics, and Associated Factors
Autor: | Vera Lúcia Conceição de Gouveia Santos, Flavia Firmino, Paula Cristina Nogueira, Ednalda Maria Franck, Wilka Medeiros Silva de Queiroz, Suzana Aparecida da Costa Ferreira, Diana Lima Villela de Castro |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study MEDLINE Physical examination 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Neoplasms Epidemiology medicine Nursing Interventions Classification Prevalence Humans Aged Advanced and Specialized Nursing Aged 80 and over Wound Healing 030504 nursing medicine.diagnostic_test business.industry Medical record Odds ratio Middle Aged Medical–Surgical Nursing Cross-Sectional Studies 030220 oncology & carcinogenesis Wounds and Injuries Surgery Oncology patients Female 0305 other medical science business |
Zdroj: | Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses. 40(3) |
ISSN: | 1550-1841 |
Popis: | Epidemiological and descriptive research on malignant wounds (MWs) is scarce. The objective of this study was to identify the prevalence of MWs and analyze the characteristics and associated factors of MWs in hospitalized patients at an oncological institution. An epidemiological, cross-sectional, and descriptive study, which was derived from a larger study that collected data on the prevalence of different types of wounds in 341 adults hospitalized in a large oncological hospital, was conducted. The present study comprehensively analyzed data related to MWs. Information was obtained through participant interviews, physical examination, and medical record review. The study was approved by the ethics committee of the institution where the study was conducted. Fourteen MWs were identified in 13 patients, who were primarily married (58%) and men (75%), with a mean age of 60.5 ± 15.1 years. Malignant wounds were predominantly located in the head and neck region (43%) and classified as 1N (50%) according to the Staging of Malignant Cutaneous Wounds instrument. Malignant wounds were characterized as painful (83.3%), with significant pain present during dressing changes (93%). The presence of MWs was associated with the use of antidepressants (odds ratio [OR] = 4.95; p = .012), upper-limb edema (OR = 8.39; p = .003), and infection (OR = 12.16; p = .051). The prevalence of MWs in hospitalized patients was 3.8%. Associated clinical variables were related to the degree of disease progression. This information provides evidence of the need for research identifying and investigating nursing interventions for patients with MW to assist with pain control during dressing changes. |
Databáze: | OpenAIRE |
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